S&C QCOR CLIA 2567s
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CLIA 2567s
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Time Interval

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Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific CLIA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CLIA ID and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 05D0978885 Premier Lab Solutions Sacramento 4630 Northgate Blvd, Ste 150 Sacramento CA 04/11/2019 6YBG11 Standard
Deficiency Tag Deficiency Description Tag Type
D2000 ENROLLMENT AND TESTING OF SAMPLES Condition
D2099 ENDOCRINOLOGY Standard
D6015 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0978885 Premier Lab Solutions Sacramento 4630 Northgate Blvd, Ste 150 Sacramento CA 08/11/2020 BZBL11 Special
Deficiency Tag Deficiency Description Tag Type
D2016 SUCCESSFUL PARTICIPATION Condition
D2074 SYPHILIS SEROLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0979897 Fertility Care Of Orange County 203 N Brea Blvd Ste 100 Brea CA 12/04/2019 MNS111 Standard
Deficiency Tag Deficiency Description Tag Type
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D5401 PROCEDURE MANUAL Standard
D5403 PROCEDURE MANUAL Standard
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D5441 CONTROL PROCEDURES Standard
D6082 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0980624 Khai Vu Md 9940 Talbert Ave Ste 204 Fountain Valley CA 02/01/2018 JU3U11 Standard
Deficiency Tag Deficiency Description Tag Type
D5301 TEST REQUEST Standard
D5391 PREANALYTIC SYSTEMS QUALITY ASSESSMENT Standard
▼ 05D0981428 Samir Anabi Md / Anabi Medical Corp 160 E Artesia St Ste 225 Pomona CA 06/30/2023 FLIJ11 Standard
Deficiency Tag Deficiency Description Tag Type
D2098 ENDOCRINOLOGY Standard
D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE Standard
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0981428 Samir Anabi Md / Anabi Medical Corp 160 E Artesia St Ste 225 Pomona CA 12/19/2024 B9UJ11 Special
Deficiency Tag Deficiency Description Tag Type
D0000 Initial Comments - Not A Deficiency Citation Memo
D2016 SUCCESSFUL PARTICIPATION Condition
D2130 HEMATOLOGY Standard
D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR Condition
D6016 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0981428 Samir Anabi Md / Anabi Medical Corp 160 E Artesia St Ste 225 Pomona CA 05/14/2025 PSI911 Standard
Deficiency Tag Deficiency Description Tag Type
D2087 ROUTINE CHEMISTRY Standard
D2099 ENDOCRINOLOGY Standard
D2122 HEMATOLOGY Standard
D6007 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0982600 Infant Botulism Program Laboratory 850 Marina Bay Pkwy Richmond CA 06/25/2021 ECY311 Standard
Deficiency Tag Deficiency Description Tag Type
D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT Standard
D6177 TESTING PERSONNEL RESPONSIBILITIES Standard
▼ 05D0982884 Christine Lee, Md, A Prof Medical Corp 370 N Wiget Ln Ste 125 Walnut Creek CA 08/22/2019 G8AX11 Standard
Deficiency Tag Deficiency Description Tag Type
D2003 ENROLLMENT Standard
D5601 HISTOPATHOLOGY Standard
D6020 LABORATORY DIRECTOR RESPONSIBILITIES Standard
▼ 05D0984472 Pacific Skin Institute 1495 River Park Dr Ste 200 Sacramento CA 11/04/2025 U5T511 Standard
Deficiency Tag Deficiency Description Tag Type
D3011 FACILITIES Standard
D3013 FACILITIES Standard
D6084 LABORATORY DIRECTOR RESPONSIBILITIES Standard
D6106 LABORATORY DIRECTOR RESPONSIBILITIES Standard